Organization
DESERT MERCY DIABETES AND THYROID CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHZAD AHMAD M.D. (OWNER/MEMBER)
(201) 693-1563
Entity
Organization
Contact information
Practice address
4611 E PALO VERDE DR, PHOENIX, AZ 85018-1258
(201) 693-1563
(602) 840-1290
Mailing address
4611 E PALO VERDE DR, PHOENIX, AZ 85018-1258
(201) 693-1563
(602) 840-1290
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P-1688294-0
ARIZONA CORPORATION COMMISSION REGISTRATION
AZ
Enumeration date
06/22/2011
Last updated
06/22/2011
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